I'm looking for some information to share with a
friend/client about VBAC (placental abruption first
time round. Cesarean just barely saved her and baby's
life). She is eager for a VBAC this time 'round.
She just interviewed an OB in the city (Dr. Juanita
Jenyons) whom I had recommended as a VBAC-friendly ob.
The interview pretty much started with Dr Jenyons
saying that new studies have shown that VBAC babies
have a slightly higher of incidence of asphixia at
birth than those born by elective cesarean. She then
went on to recommend a second cesarean to my friend
since she does not plan on having more babies. I have
since learned from others that while supportive of
women who choose VBAC, Dr. Jenyons is generally
reversing her stance on VBAC.
I am wondering how to discuss risk with my
friend....How to help her to find information that is
pregnancy-compatible. You know what I mean? She is,
after all, a pregnant woman wanting to enter birth
with a stong faith in her body and the process of
birth. She does not want to be reading as a health
practioner would about risks of maternal death, fetal
asphixiation etc. And yet, she needs to make an
informed decision here. She needs to weigh risks and
benefit and feel at peace with her decision. I'm
wondering if anyone has advice about ways to
think/read/reseach about risks associate with VBAC and
elective C/s when pregnant???
Thanks so much, Mary Esther Malloy-Hopwood

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